ATI Quiz 7 Pharm

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects 1. adrenocortical insufficiency 2. severe dehydration 3. rebound pulmonary congestion 4. hyperglycemia

Answer: 1

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching? A) keep the open vile of insulin at room temperature B) inject the insulin into a large muscle C) aspirate the medication prior to administration D) Administer the insulin in two separate injections

Answer: A Keep the open vial of insulin at room temperature to minimize tissue injury and to reduce the risk for lipodystrophy.

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? a. Insomnia b. Constipation c. Drowsiness d. Hypoactive deep-tendon reflexes

Answer: A- Levothyroxine overdose will result in manifestations of hyperthyroidism, which include insomnia, tachycardia, and hyperthermia. Explanation:b. Constipation is a manifestation of hypothyroidism and indicates an inadequate dose of levothyroxine .c. Drowsiness is a manifestation of hypothyroidism and indicates an inadequate dose of levothyroxine. d. Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate an inadequate dose of levothyroxine.

A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the clients morning blood glucose level as 210mg/dL instead of 120mg/dL. Based o;n this error, she administered the insulin dose appropriate for a reading over 200 mg/ dL before the clients breakfast. Which of the following error? A. give the client 15 to 20 g of carbohydrates B. monitor the client for hypoglycemia C. comlete an incident report D. notify the nurse manager

Answer: B

A nurse is caring for a an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A) NPH insulin B) Insulin glargine C) Insulin detemir D) Regular insulin

Answer: D

A nurse is preparing to administer medications to a client who states "I dont want to take those drugs. Which of the following actions should the nurse take? A) tell the client the physician wants him to take the medication B) Ask the client why he is refusing the medication C) Explain the purpose of the medication D) Document that the client refuses the medication

Answer: D

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is about 200 mg/dL. Which of the following information should the nurse include? A) discard the NPH solution if it appears cloudy B) shake the insulin vigorously before loading the syringe C) expect NPH to peak in 6-14 hours D) Freeze the unopened insulin bottles

Answer: D Expect the NPH insulin to peak in 6 to 14 hr.*NPH insulin is an intermediate-acting insulin. Its onset of action is 1 to 2 hr, peaking at 6 to 14 hr. Its duration of action is 16 to 24 hr. The client is at risk for hypoglycemia during the peak time.

A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? ​A. 0720​ B. 0730 ​C. 0745 ​D. 0815​

C. 0745 Regular insulin should be given 20 to 30 minutes before eating because the onset of action is 30​ minutes. There are circumstances when this lag time guide can be adjusted.​

The nurse is preparing a medication for a client and observes the date of expiration on the vial occured 2 months ago. Which of the following actions should the nurse take? A) give the medication B) Discard the medication C) Notify the provider D) return the medication to the pharmacy

answer: D

A nurse is teaching a client how to draw up regular insulin and NPH insulin into the same syringe. Which of the following instructions should the nurse include? A) draw up the nph insulin into the syringe first B) Inject air into the regular insulin first C) Shake the NPH until it is well mixed D) discard regular insulin that appears cloudy

answer: D Discard regular insulin if cloudy as it should be clear. NPH insulin is the one that has a cloudy appearance since it is a suspension that needs to be rolled between your hands to mix.